North Atlanta Equestrian Combined Test & Dressage Show
1. Introductory Test A $25
2. Introductory Test B $25
18. Novice CT $45 Nov B
19. Training CT $45 Train B
3. Introductory Test C $25
20. Prelim CT $40 Prelim B
4. Training Test 1 $25
21. Show Jumping 12" $20
5. Training Test 2 $25
22. New event horse 12" $20*
6, Training Test 3 $25
23. Show Jumping 18” $20
7. First Level Test 1 $25
24. New event horse 18" $20*
8. First Level Test 2 $25
25. Show Jumping 2’ $20
9. First Level Test 3 $25 AA
26. New event horse 2' $20*
Medal**
10. Second Level $25
27. Show Jumping 2’6” $20
11 Any USEA Test* $35
28. New event horse 2'6" $20*
12. 13 & Under D Equitation $30
29. Show Jumping 2’11” $20
13. 14 & Over D Equitation $30
30. New event horse 2'11" $20*
14. Pre Amoeba CT $45 Intro A
31. Show Jumping 3’ $20
15. Amoeba CT $45 Intro A
32 New event horse 3' $20*
16. Tadpole CT $45 Intro B
33. Show Jumping 3’3” $20
17. Beginner Novice CT $45 BN B
34. New event horse 3'3" $20*
* New event horse classes are judged on rideablilty, softness, temperament and suitability. Year end awards given for jumpers/new
event horse.
**The eligible rider with the highest score of 60 percent or better in the designated First Level Test 3 class Adult Amateur Medal
class at a participating competition will receive a Lisa Seger Equine Insurance AA medal with neck ribbon.
Day Stabling: $30 Call for availability
Non-Competing Horses: $15 Ship in Fee
Late Entry: $15 if after closing date - Change Fee: $10
Coggins: Negative Coggins within 12 months for all horses
Ride times available Thursday before each show. NO REFUNDS OR CREDITS AFTER CLOSING DATE FOR ANY REASON!
With each entry, please include: payment, Coggins, GDCTA Hold Harmless Release and North Atlanta Equestrian Release. Please
submit this documentation for each show. All accepted entries will be held responsible for all fees. GDCTA approved.
Class Fee (Total)
Stall Fee
Credit Card Fee ($5)
Late Entry or Change Fee
Other
$
$
$
$
$
Office Fee
TOTAL FEES
$20.00
$
Make all checks payable to: Rebecca Bowman
Mail Entry to:
Rebecca Bowman
17 Hollyhock Lane
Emerson, GA 30137
Email: northatlantaequestrian@gmail.com
Phone: 859-489-8141
RIDER:
ADDRESS:
CITY/STATE/ZIP:
EMAIL:
HORSE:
RIDER’S AGE :
COGGINS DATE:
TELEPHONE:
Mail entry to: Rebecca Bowman, 17 Hollyhock Ln., Emerson, GA 30137. northatlantaequestrian@gmail.com. 859 489-8141
WARNING UNDER GEORGIA LAW, AN EQUINE ACTIVITY SPONSOR OR EQUINE PROFESSIONAL IS NOT LIABLE FOR ANY INJURY TO OR THE DEATH OF
A PARTICIPANT IN EQUINE ACTIVITIES RESULTING FROM THE INHERENT RISKS OF EQUINE ACTIVITIES, PURSUANT TO CHAPTER 12 OF TITLE 4 OF
THE OFFICIAL CODE OF GEORGIA ANNOTATED.
North Atlanta Equestrian
Waiver of Liability, assumption of risk, covenant not to sue and release and hold harmless agreement.
I, ________________________ have read, understand, acknowledge, and confirm, and freely and voluntarily enter into
this RELEASE and hold harmless agreement with Rebecca Bowman, William Wright, Old Mill Farm, North Atlanta
Equestrian, Chattahoochee Hills Eventing, Bouckaert Farm, and their agents, servants, employees or officers. I fully
understand and acknowledge the potential danger that I or my child/children could incur in possible injury or death to
myself, my child/children, other people and/or horses by mounting, riding, walking, feeding, including but not limited to
any interaction or participation with horses.
I, by signing this waiver/release agree to hold harmless, discharge, release and indemnify Rebecca Bowman, William
Wright, Old Mill Farm, Chattahoochee Hills Eventing, Bouckaert Farm, and their agents, servants, employees or officers,
from all liability whatsoever and AGREE NOT TO SUE on account of or connection with in any way claims, causes of
action, injuries, damages, costs, expenses or loss to myself, my family, my children, my horse, my property, my friends,
guests and/or any others as a result of any interaction or participation of any kind equine or otherwise that takes place
at 118 Old Mill Road, Cartersville, GA, or any interaction or participation with horses except in the event of wanton and
willful negligence. I hereby release and relieve Rebecca Bowman, William Wright, Old Mill Farm, Chattahoochee Hills
Eventing, Bouckaert Farm and all affiliated companies, partnerships, employees, representatives, heirs, successors and
assign each and every member of his/her family from any liability whatsoever for any loss, claim, damage, injury or
death which I, my child, horse, or any person claiming by, through or under me may suffer or sustain as a result of
participation or interaction of any kind, equine or otherwise that takes place at 118 Old Mill Road Cartersville, GA. I
hereby waive any rights I may have to bring claim or suit against any said individuals arising out of any such damage,
injury or death.
IT IS THE RESPONSIBILITY OF THE EQUINE PARTICIPANT to carry full and complete insurance coverage on his/her horse,
personal property and himself/herself. I further understand and grant permission for treatment if an emergency
medical treatment is required to be transported to the closest medical facility at my expense.
I understand and agree and have accepted all rules and regulations that are currently in effect or may be established
from time to time by Rebecca Bowman, William Wright, Old Mill Farm, Chattahoochee Hills Eventing, Bouckaert Farm
and, their agents, servants, employees or officers. My failure to abide by such rules and regulations may result in
Rebecca Bowman, William Wright, Old Mill Farm, and, their agents, servants, employees or officers prohibiting my
participation in any equine related activities at Old Mill Farm, 118 Old Mill Road, Cartersville GA.
WARNING Under Georgia law, any equine sponsor or equine professional is not liable for an injury or death of a
participant in equine activities resulting from the inherent risk of equine activities, pursuant to Chapter 12 of Title 4 of
the Official Code of Georgia Annotated.
NAME: _________________________________________________________________
ADDRESS: _______________________________________________________________
PHONE NO.: _____________________________________________________________
DATE & SIGNATURE: ______________________________________________________